Provider Demographics
NPI:1700476959
Name:RIOS-VILLENA, CESAR AGUSTIN (RN CWCP)
Entity type:Individual
Prefix:
First Name:CESAR
Middle Name:AGUSTIN
Last Name:RIOS-VILLENA
Suffix:
Gender:M
Credentials:RN CWCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7218 QUINCY AVE
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-1622
Mailing Address - Country:US
Mailing Address - Phone:703-244-6884
Mailing Address - Fax:703-940-1077
Practice Address - Street 1:150 S WASHINGTON ST STE 501
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-2940
Practice Address - Country:US
Practice Address - Phone:703-244-6884
Practice Address - Fax:703-940-1077
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-21
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001282511163WX1500X, 163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0000XNursing Service ProvidersRegistered NurseWound Care
No163WX1500XNursing Service ProvidersRegistered NurseOstomy Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherNA